<?php
/* @var $this RefractionOsController */
/* @var $model RefractionOs */
/* @var $form CActiveForm */
?>

<div class="wide form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'action'=>Yii::app()->createUrl($this->route),
	'method'=>'get',
)); ?>

	<div class="row">
		<?php echo $form->label($model,'id'); ?>
		<?php echo $form->textField($model,'id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'ars_ph'); ?>
		<?php echo $form->textField($model,'ars_ph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'ar_cyl'); ?>
		<?php echo $form->textField($model,'ar_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'ar_axis'); ?>
		<?php echo $form->textField($model,'ar_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'manifes_tsph'); ?>
		<?php echo $form->textField($model,'manifes_tsph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'manifest_cyl'); ?>
		<?php echo $form->textField($model,'manifest_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'manifest_axis'); ?>
		<?php echo $form->textField($model,'manifest_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'cyrefraction_sph'); ?>
		<?php echo $form->textField($model,'cyrefraction_sph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'cyrefraction_cyl'); ?>
		<?php echo $form->textField($model,'cyrefraction_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'cyrefraction_axis'); ?>
		<?php echo $form->textField($model,'cyrefraction_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'overrefraction_sph'); ?>
		<?php echo $form->textField($model,'overrefraction_sph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'overrefraction_cyl'); ?>
		<?php echo $form->textField($model,'overrefraction_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'overrefractionaxis'); ?>
		<?php echo $form->textField($model,'overrefractionaxis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'w_sph'); ?>
		<?php echo $form->textField($model,'w_sph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'w_cyl'); ?>
		<?php echo $form->textField($model,'w_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'w_axis'); ?>
		<?php echo $form->textField($model,'w_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'rx_id'); ?>
		<?php echo $form->textField($model,'rx_id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'personalinfo_id'); ?>
		<?php echo $form->textField($model,'personalinfo_id'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton('Search'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- search-form -->